Prokinetic agents are used to treat symptoms of FD, gastroparesis, CIC and IBS(7,92,93). Data on the use of prokinetics for the treatment of chronic bloating and distension islimited. Neostigmine, a cholinesterase inhibitor, improved gas clearance in patients whounderwent jejunal gas infusion (94). Pyridostigmine was marginally better than placebo atimproving symptoms of bloating in a small randomized, placebo-controlled study of IBS patients(n = 20; 95). Acotiamide, a muscarinic antagonist and cholinesterase inhibitor, slightlyimproved, but did not eliminate, symptoms of meal-related bloating in Japanese patients with FD(96). Metoclopramide did not improve symptoms of bloating in patients with either dyspepsia orgastroparesis (97,98). An analysis of 4 randomized, placebo-controlled studies involving 1,596Asian and non-Asian women found that 2 mg of prucalopride, a 5-HT4 agonist, once dailyimproved stool frequency and reduced symptoms of bloating (99). A randomized, placebocontrolled cross-over study involving 34 patients with gastroparesis found that prucalopride (2mg q.d.) improved global gastroparesis symptoms, including those of bloating and distension (p< .0005; 100). Tegaserod, another 5-HT4 agonist, was recently approved by the FDA for thetreatment of IBS with constipation in women < 65 years without cardiovascular risk factors. 15Three separate, 12-week, randomized, prospective controlled studies demonstrated that tegaserod(6 mg p.o. twice daily) improved global IBS-C symptoms including bloating (add 101,102.
Prokinetic agents are used to treat symptoms of FD, gastroparesis, CIC and IBS<br>(7,92,93). Data on the use of prokinetics for the treatment of chronic bloating and distension is<br>limited. Neostigmine, a cholinesterase inhibitor, improved gas clearance in patients who<br>underwent jejunal gas infusion (94). Pyridostigmine was marginally better than placebo at<br>improving symptoms of bloating in a small randomized, placebo-controlled study of IBS patients<br>(n = 20; 95). Acotiamide, a muscarinic antagonist and cholinesterase inhibitor, slightly<br>improved, but did not eliminate, symptoms of meal-related bloating in Japanese patients with FD<br>(96). Metoclopramide did not improve symptoms of bloating in patients with either dyspepsia or<br>gastroparesis (97,98). An analysis of 4 randomized, placebo-controlled studies involving 1,596<br>Asian and non-Asian women found that 2 mg of prucalopride, a 5-HT4 agonist, once daily<br>improved stool frequency and reduced symptoms of bloating (99). A randomized, placebocontrolled cross-over study involving 34 patients with gastroparesis found that prucalopride (2<br>mg q.d.) improved global gastroparesis symptoms, including those of bloating and distension (p<br>< .0005; 100). Tegaserod, another 5-HT4 agonist, was recently approved by the FDA for the<br>treatment of IBS with constipation in women < 65 years without cardiovascular risk factors. <br>15<br>Three separate, 12-week, randomized, prospective controlled studies demonstrated that tegaserod<br>(6 mg p.o. twice daily) improved global IBS-C symptoms including bloating (add 101,102.
正在翻译中..